SELF REGIONAL HEALTHCARE FOUNDATION: Form 990, tax year 2024

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Organization
SELF REGIONAL HEALTHCARE FOUNDATION (EIN 57-0792372)
Tax period
2024-10-01 to 2025-09-30
Filed
2026-02-16
IRS object ID
202600479349300200
Schema version
2024v5.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2026-02-16T00:13:58-05:00ReturnTs
Tax Period End2025-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN272826067PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1MCKINLEY COOPER & CO LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1777 LOWNDES HILL RD BLDG 3 STE 225AddressLine1Txt
CityGREENVILLECityNm
State AbbreviationSCStateAbbreviationCd
ZIP296072131ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2024-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN570792372EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SELF REGIONAL HEALTHCARE FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSELFBusinessNameControlTxt
Phone8647254256PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11325 SPRING STREETAddressLine1Txt
CityGREENWOODCityNm
State AbbreviationSCStateAbbreviationCd
ZIP29646ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKENNETH COFFEY IIPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone8647254256PhoneNum
Signature2026-02-06SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrfalseIRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTONI R MCKINLEYPreparerPersonNm
PTINP01030704PTIN
Phone8642331800PhoneNum
Preparation2026-02-16PreparationDt
FieldValueIRS element (for citing)
Tax2024TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerKENNETH COFFEY IIPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11325 SPRING STREETAddressLine1Txt
CityGREENWOODCityNm
State AbbreviationSCStateAbbreviationCd
ZIP29646ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$5,094,481GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.SELFREGIONALFOUNDATION.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1985FormationYr
Legal Domicile StateSCLegalDomicileStateCd
Activity Or MissionTO RECEIVE, HOLD, INVEST, OR ARRANGE FOR INVESTING AND TO ACQUIRE BY GIFT, DEVISE, BEQUEST, PURCHASE OR OTHERWISE AND USE PROPERTY OF ANY KIND AND FUNDS EXCLUSIVELY FOR THE BENEFIT OF SELF REGIONAL HEALTHCARE (FORMERLY SELF MEMORIAL HOSPITAL) AND ANY OTHER PUBLICLY SUPPORTED HOSPITAL IN THE STATE OF SOUTH CAROLINA.ActivityOrMissionDesc
Voting Members Governing Body21VotingMembersGoverningBodyCnt
Voting Members Independent21VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers60TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$1,612,515PYContributionsGrantsAmt
CY Contributions Grants$2,130,446CYContributionsGrantsAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$160,091PYInvestmentIncomeAmt
CY Investment Income$235,929CYInvestmentIncomeAmt
PY Other Revenue$951,061PYOtherRevenueAmt
CY Other Revenue$163,802CYOtherRevenueAmt
PY Total Revenue$2,723,667PYTotalRevenueAmt
CY Total Revenue$2,530,177CYTotalRevenueAmt
PY Grants And Similar Paid$2,385,504PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$2,052,571CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$169,877PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$204,403CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$348,882CYTotalFundraisingExpenseAmt
PY Other Expenses$249,910PYOtherExpensesAmt
CY Other Expenses$309,652CYOtherExpensesAmt
PY Total Expenses$2,805,291PYTotalExpensesAmt
CY Total Expenses$2,566,626CYTotalExpensesAmt
PY Revenues Less Expenses-$81,624PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$36,449CYRevenuesLessExpensesAmt
Total Assets BOY$7,873,317TotalAssetsBOYAmt
Total Assets EOY$8,176,243TotalAssetsEOYAmt
Total Liabilities BOY$31,293TotalLiabilitiesBOYAmt
Total Liabilities EOY$31,466TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$7,842,024NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$8,144,777NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO RECEIVE, HOLD, INVEST, OR ARRANGE FOR INVESTING AND TO ACQUIRE BY GIFT, DEVISE, BEQUEST, PURCHASE OR OTHERWISE AND USE PROPERTY OF ANY KIND AND FUNDS EXCLUSIVELY FOR THE BENEFIT OF SELF REGIONAL HEALTHCARE (FORMERLY SELF MEMORIAL HOSPITAL) AND ANY OTHER PUBLICLY SUPPORTED HOSPITAL IN THE STATE OF SOUTH CAROLINA.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$2,052,571ExpenseAmt
Grant$2,052,571GrantAmt
DescSELF REGIONAL HEALTHCARE FOUNDATION SERVES AS A CONDUIT FOR GIFTS AND OUTREACH ON BEHALF OF SELF REGIONAL HEALTHCARE. THESE GIFTS HELP ADDRESS THE CURRENT NEEDS OF THE HOSPITAL SUCH AS EQUIPMENT AND PROGRAMMING. THESE RESOURCES ENABLE SELF REGIONAL HEALTHCARE TO PROVIDE THE PEOPLE OF THE LAKELANDS REGION WITH THE FINEST HEALTHCARE AVAILABLE NOW AND IN THE FUTURE.Desc
Total Program Service Expenses$2,052,571TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtYes (true)CollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsYes (true)GrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members21GoverningBodyVotingMembersCnt
Independent Voting Member21IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldSCStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonKENNETH COFFEY IIPersonNm
Phone8647254256PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11325 SPRING STREETAddressLine1Txt
CityGREENWOODCityNm
State AbbreviationSCStateAbbreviationCd
ZIP29646ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
DR MATTHEW LOGAN
PRESIDENT &40.00Yes (X)$0$886,730$0
KENNETH COFFEY II
EXECUTIVE DI40.00Yes (X)$0$244,694$0
MARK ASKEW
BOARD MEMBER1.00$0$0$0Yes (X)
PETER BJERKE
BOARD MEMBER1.00$0$0$0Yes (X)
CHRIS CLEM
TREASURER1.00$0$0$0Yes (X)
JOHN W COOPER
CHAIR1.00$0$0$0Yes (X)
GLENDA CORLEY
VICE CHAIR1.00$0$0$0Yes (X)
DR BRYAN T GREEN
BOARD MEMBER1.00$0$0$0Yes (X)
CHARLES J RIMSKY III
BOARD MEMBER1.00$0$0$0Yes (X)
DENISE MANLEY
BOARD MEMBER1.00$0$0$0Yes (X)
DR LINCOLN MCGINNIS
BOARD MEMBER1.00$0$0$0Yes (X)
HANNAH K METTS
BOARD MEMBER1.00$0$0$0Yes (X)
DR JOANNA METZNER-SADURSKI
BOARD MEMBER1.00$0$0$0Yes (X)
SHARON MULKEY
BOARD MEMBER1.00$0$0$0Yes (X)
STEVE RILEY
BOARD MEMBER1.00$0$0$0Yes (X)
ANNETTE SCOTT
BOARD MEMBER1.00$0$0$0Yes (X)
LAURIE V SMITH
BOARD MEMBER1.00$0$0$0Yes (X)
CHELSEY STEIFLE
BOARD MEMBER1.00$0$0$0Yes (X)
DAVE THOMPSON
BOARD MEMBER1.00$0$0$0Yes (X)
LYNN VAUGHN
BOARD MEMBER1.00$0$0$0Yes (X)
MICHAEL WALTERS
BOARD MEMBER1.00$0$0$0Yes (X)
JILL WARNER
BOARD MEMBER1.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Tot Reportable Comp Rltd Org$1,131,424TotReportableCompRltdOrgAmt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
All Other Contributions$2,130,446AllOtherContributionsAmt
Total Contributions$2,130,446TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$253,903TotalRevenueColumnAmt
Related Or Exempt Func Income$253,903RelatedOrExemptFuncIncomeAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$84,000RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$84,000RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$84,000TotalRevenueColumnAmt
Exclusion$84,000ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$2,437,732SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$2,455,706SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$17,974SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$17,974TotalRevenueColumnAmt
Related Or Exempt Func Income-$17,974RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$188,400FundraisingGrossIncomeAmt
Fundraising Direct Expenses$108,598FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$79,802TotalRevenueColumnAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,530,177TotalRevenueColumnAmt
Related Or Exempt Func Income$235,929RelatedOrExemptFuncIncomeAmt
Exclusion$84,000ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$1,945,615TotalAmt
Program Services$1,945,615ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$106,956TotalAmt
Program Services$106,956ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$204,403TotalAmt
Management And General$51,101ManagementAndGeneralAmt
Fundraising$153,302FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$17,000TotalAmt
Management And General$17,000ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$35,961TotalAmt
Management And General$35,961ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$15,300TotalAmt
Management And General$15,300ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$917TotalAmt
Management And General$825ManagementAndGeneralAmt
Fundraising$92FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$17,152TotalAmt
Management And General$17,152ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,814TotalAmt
Management And General$2,814ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtFundraisingFundraisingAmtManagement And GeneralManagementAndGeneralAmt
RECOGNITION$108,605$108,605
SUPPLIES & POSTAGE$23,540$17,655$5,885
BAD DEBT EXPENSE$22,936$22,936
DONOR EDUCATION & CULTIVA$22,398$22,398

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$43,029TotalAmt
Management And General$19,135ManagementAndGeneralAmt
Fundraising$23,894FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$2,566,626TotalAmt
Program Services$2,052,571ProgramServicesAmt
Management And General$165,173ManagementAndGeneralAmt
Fundraising$348,882FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$215,700BOYAmt
EOY$553,592EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,709,022BOYAmt
EOY$1,309,445EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$804,699LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$343,664LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$762,721BOYAmt
EOY$461,035EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$4,693,804BOYAmt
EOY$5,335,319EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$331,994BOYAmt
EOY$192,776EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$160,076BOYAmt
EOY$324,076EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$7,873,317BOYAmt
EOY$8,176,243EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$23,190BOYAmt
EOY$22,438EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
EOY$3,700EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$8,103BOYAmt
EOY$5,328EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$31,293BOYAmt
EOY$31,466EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$4,108,514BOYAmt
EOY$4,323,016EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,733,510BOYAmt
EOY$3,821,761EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$7,842,024BOYAmt
EOY$8,144,777EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$7,873,317BOYAmt
EOY$8,176,243EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$36,449ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$375,163NetUnrlzdGainsLossesInvstAmt
Investment Expense-$35,961InvestmentExpenseAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type1Yes (X)SupportingOrgType1Ind
Supported Organizations1SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp

Supported Organization Name SupportedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1SELF REGIONAL HEALTHCAREBusinessNameLine1Txt
Business Name Line2SELF REGIONAL HEALTHCAREBusinessNameLine2Txt
FieldValueIRS element (for citing)
EIN570331865EIN
Organization Type7OrganizationTypeCd
Governing Document ListedYes (true)GoverningDocumentListedInd
Support$1,945,615SupportAmt
Other Support$0OtherSupportAmt
FieldValueIRS element (for citing)
Supported Organizations Total1SupportedOrganizationsTotalCnt
Support Sum$1,945,615SupportSumAmt
Other Support Sum$0OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocYes (true)ListedByNameGoverningDocInd
Suprt Org No IRS DeterminationfalseSuprtOrgNoIRSDeterminationInd
Supported Org Section C456falseSupportedOrgSectionC456Ind
Supported Org Not Organized USfalseSupportedOrgNotOrganizedUSInd
Organization Change Suprt OrgfalseOrganizationChangeSuprtOrgInd
Support Non Supported OrgfalseSupportNonSupportedOrgInd
Payment Substantial ContribtrfalsePaymentSubstantialContribtrInd
Loan Disqualified PersonfalseLoanDisqualifiedPersonInd
Controlled Disqualified PrsnfalseControlledDisqualifiedPrsnInd
Disqualified Prsn Controll IntfalseDisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr IntfalseDisqualifiedPrsnOwnrIntInd
Excess Business Holdings RulesfalseExcessBusinessHoldingsRulesInd
Contribution ControllerfalseContributionControllerInd
Contribution FamilyfalseContributionFamilyInd
Contribution35 ControlledfalseContribution35ControlledInd

Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp

FieldValueIRS element (for citing)
Power Appoint Majority Dir TrstYes (true)PowerAppointMajorityDirTrstInd
Operate Benefit Non Suprt OrgfalseOperateBenefitNonSuprtOrgInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Solicited Assets SalefalseSolicitedAssetsSaleInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$118,000OtherCostOrOtherBasisAmt
Book Value$118,000BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$686,699OtherCostOrOtherBasisAmt
Depreciation$343,664DepreciationAmt
Book Value$343,035BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$461,035TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescANNUITY OBLIGATIONSDesc
Amt$5,328Amt
FieldValueIRS element (for citing)
Total Liability$5,328TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$2,869,379TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$375,163NetUnrealizedGainsInvstAmt
Revenue Not Reported$375,163RevenueNotReportedAmt
Revenue Subtotal$2,494,216RevenueSubtotalAmt
Investment Expenses Not Incld$35,961InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$35,961RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$2,530,177TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$2,566,626TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$2,566,626ExpensesSubtotalAmt
Total Expenses Per Form990$2,566,626TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PAGE 3, PART XTHE ORGANIZATION RECOGNIZES THE TAX BENEFITS FROM UNCERTAIN POSITIONS ONLY IF IT IS MORE-LIKELY-THAN-NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY THE TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE ORGANIZATION'S INCOME TAX FILINGS ARE SUBJECT TO AUDIT BY VARIOUS TAXING AUTHORITIES. MANAGEMENT BELIEVES THE ADOPTION OF ASC 740-10 RESULTED IN NO SIGNIFICANT IMPACT TO THE ORGANIZATION'S FINANCIAL STATEMENTS.
SCHEDULE D, PAGE 4, PART XI, LINE 4BDIRECT FUNDRAISING EXPENSE 0
SCHEDULE D, PAGE 4, PART XII, LINE 2DDIRECT FUNDRAISING EXPENSE 0

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1MID-WINTER BALLEvent1Nm
Gross Receipts Event1$188,400GrossReceiptsEvent1Amt
Gross Revenue Event1$188,400GrossRevenueEvent1Amt
Other Direct Expenses Event1$108,598OtherDirectExpensesEvent1Amt
Gross Receipts Total$188,400GrossReceiptsTotalAmt
Gross Revenue Total Events$188,400GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$108,598OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$108,598DirectExpenseSummaryEventsAmt
Net Income Summary$79,802NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1SELF REGIONAL HEALTHCAREBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11325 SPRING STREETAddressLine1Txt
CityGREENWOODCityNm
State AbbreviationSCStateAbbreviationCd
ZIP29646ZIPCd
FieldValueIRS element (for citing)
Recipient EIN570331865RecipientEIN
IRC Section501C3IRCSectionDesc
Cash Grant$1,945,615CashGrantAmt
Purpose Of GrantRESEARCH & SUPPORTPurposeOfGrantTxt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeGRACE FUND ASSISTANCEGrantTypeTxt
Cash Grant$106,956CashGrantAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)

TitleTitleTxtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmt
DR MATTHEW LOGAN
PRESIDENT & CEO$886,730$886,730
KENNETH COFFEY II
EXECUTIVE DIRECTOR$244,694$244,694

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990 - ORGANIZATION'S MISSIONTO RECEIVE, HOLD, INVEST, OR ARRANGE FOR INVESTING AND TO ACQUIRE BY GIFT, DEVISE, BEQUEST, PURCHASE OR OTHERWISE AND USE PROPERTY OF ANY KIND AND FUNDS EXCLUSIVELY FOR THE BENEFIT OF SELF REGIONAL HEALTHCARE (FORMERLY SELF MEMORIAL HOSPITAL) AND ANY OTHER PUBLICLY SUPPORTED HOSPITAL IN THE STATE OF SOUTH CAROLINA.
FORM 990, PAGE 6, PART VI, LINE 11BA COPY OF THE RETURN IS DISTRIBUTED TO THE FINANCE COMMITTEE PRIOR TO THE MEETING FOR REVIEW AND CORRECTION. AFTER REVIEWING AT THE COMMITTEE MEETING, CHANGES ARE MADE, A RECOMMENDATION IS MADE TO THE BOARD OF TRUSTEES FOR ACCEPTANCE.
FORM 990, PAGE 6, PART VI, LINE 12CTHE BOARD MEMBERS, AND COMMITTEE MEMBERS, ARE ASKED TO READ AND SIGN A CONFLICT OF INTEREST POLICY ANNUALLY, DISCLOSING ALL RELATIONSHIPS THAT MAY POSSIBLY BE CONSIDERED A CONFLICT.
FORM 990, PAGE 6, PART VI, LINE 19DOCUMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 9DIRECT FUNDRAISING EXPENSE 0 DIRECT FUNDRAISING EXPENSE 0

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1SELF REGIONAL HEALTHCAREBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11325 SPRING STREETAddressLine1Txt
CityGREENWOODCityNm
State AbbreviationSCStateAbbreviationCd
ZIP29646ZIPCd
FieldValueIRS element (for citing)
EIN570331865EIN
Primary ActivitiesHOSPITALPrimaryActivitiesTxt
Legal Domicile StateSCLegalDomicileStateCd
Exempt Code Section3ExemptCodeSectionTxt
Direct Controlling NAN/ADirectControllingNACd
Controlled OrganizationfalseControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
SELF REGIONAL HEALTHCARE
B$1,610,615FMV
SELF REGIONAL HEALTHCARE
J$84,000FMV

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